DOC-2818_Contractor_Compliance_Agreement.pdf
PDF 157 KB Posted
- Attached to
- Polygraph Examination Services
- Contract number
- 410036-M22-CJO7468-RFB-01
- Issued by
- Wisconsin
About this file
This is a Contractor Compliance Agreement between the Wisconsin Department of Corrections (DOC) Division of Management Services and Sabino Martinez Jr., President of Veridicus Inc., located at 11230 West Ave. Suite 3101, San Antonio, Texas 78213. The document, form DOC-2818 (Rev. 8/2018), establishes compliance requirements for contractors providing services to the Wisconsin DOC and was signed on December 7, 2021.
The contract involves polygraph examination services awarded through RFB CJO-7468. The agreement requires the contractor and all staff to provide services consistent with DOC contract terms and maintain compliance with background check requirements for all contractor personnel and applicants. This compliance form covers all contracts the contractor holds with the DOC for a twelve-month period following the signature date, with annual renewal requirements. The contractor must file updated compliance forms every twelve months or within 30 days of each contract year end date to maintain active contract status.
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Other files
| File | Type | Posted |
|---|---|---|
| 7468 FY22 Contract Announcement.doc | DOC document | |
| Attachment 6 DCC Map.docx | DOCX document | |
| DOA-3054StandardTermsandConditionsRFB-RFP.doc | DOC document | |
| 7468 Request For Bid Document.docx | DOCX document | |
| Addendum 1.doc.pdf | ||
| Attachment 5 DOC-1336 Referral to Purchase Offender Services.pdf | ||
| Attachment_2_Price_Sheet.pdf | ||
| DOA-3681SupplementalStandardTermsandConditions.doc | DOC document | |
| 7468 FY24 Contract Announcement.doc | DOC document | |
| Attachment 3 Unit Service Monthly Report.docx | DOCX document | |
| Attachment 4 DOC Rider.docx | DOCX document |
Show all 11
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Text version
DEPARTMENT OF CORRECTIONS WISCONSIN
Division of Management Services
DOC-2818 (Rev. 8/2018)
DISTRIBUTION: Original – Contractor File
CONTRACTOR COMPLIANCE AGREEMENT
INSTRUCTIONS: Complete entire form and return to the Department of Corrections Purchasing Services, Contract Manager or the Purchasing Helpdesk, email address listed below.
CONTRACTOR NAME: Sabino Martinez Jr.
CONTRACT COMPLIANCE
The contractor hereby agrees that as a contractor who provides services to the State of Wisconsin Department of Corrections (DOC), they will ensure that the contractor and all contractor staff shall provide any and all contracted services in a manner consistent with each DOC contract.
CONTRACTOR STAFF & APPLICANT BACKGROUND CHECKS
Furthermore, the contractor affirms compliance with all Contract Terms and Conditions concerning all provisions relating to background checks of all contractor staff and applicants.
Authorized Contractor Representative Information:
NAME Sabino Martinez Jr.
POSITION TITLE President of Veridicus Inc.
CONTRACTOR
ADDRESS
11230 West Ave. Suite 3101, San Antonio, Texas 78213
CONTRACTOR PHONE 210-843-7628 CONTRACTOR EMAIL sabino.mtnz@yahoo.com
List all contract(s) currently held with DOC (include contract identification numbers for proper routing):
Contract Award resulting from RFB CJO-7468 for Polygraph Examination Services
If contractor enters into any other contract(s) with the DOC prior to the expiration of this statement of compliance, the contractor need not submit an additional compliance form. This completed form shall cover all contract(s) the contractor has with the DOC for a twelve (12) month period, following the date signed by the authorized contractor representative identified above.
During the life of the contract(s), the contractor shall continue to verify compliance on an annual basis, by filing a new completed, signed form with DOC Purchasing Services every twelve (12) months, or within 30 days of each contract year end date or date listed below, whichever is earlier.
SIGNATURE DATE SIGNED 12/07/2021
Return completed and signed form to: RFB CJO-7468 Procurement Manager via Bidder Bid Response to RFB CJO-7468
Or to the DOC Purchasing Helpdesk DOCPurchasingHelpdesk@wisconsin.gov mailto:DOCPurchasingHelpdesk@wisconsin.gov
File details come from the government source that posted it. Updated .